MEDICARE: MICHELLE COOPER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1588555726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE COOPER

Provider Business Mailing Address
First Line	:	1429 COLLINS RD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-1060
Country	:	US
Telephone Number	:	239-603-4243
Fax Number	:

Provider Business Practice Location Address
First Line	:	12220 TOWNE LAKE DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-8013
Country	:	US
Telephone Number	:	239-645-3866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	07/21/2025

Similar Medicare Providers

1013637768 — VIANA BERNABE JOSEPH
Practice Location Address:

12220 TOWNE LAKE DR
FORT MYERS, FL
33913-8013

Practice Phone: 239-887-0435
Practice Fax:

1851700207 — MRS. MEGHAN ELIZABETH BURBACH P.T.
Practice Location Address:

12220 TOWNE LAKE DR
FORT MYERS, FL
33913-8013

Practice Phone: 239-433-6700
Practice Fax: 239-433-6706

1275415325 — ALANNA MASONY MSW
Practice Location Address:

12220 TOWNE LAKE DR STE SUITE5
FORT MYERS, FL
33913-8013

Practice Phone: 239-645-3866
Practice Fax:

1659263994 — LURIE CARRERA OTERO
Practice Location Address:

12220 TOWNE LAKE DR
FORT MYERS, FL
33913-8013

Practice Phone: 239-645-3866
Practice Fax:

1669827424 — MEDSPRING OF TEXAS PA
Practice Location Address:

2501 WEST 7TH STREET , STE. 101
FORT. WORTH, TX
76107-8013

Practice Phone: 888-980-0505
Practice Fax:

1770951386 — KATHERINE RITZ PT, DPT
Practice Location Address:

12220 TOWNE LAKE DR STE 1
FORT MYERS, FL
33913-8021

Practice Phone: 239-433-6700
Practice Fax: 239-433-6703

Directions to “ MICHELLE COOPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.